Raphael & Associates · 16 hours ago
New York Labor Law Claims Examiner
Rutherford, NJ
Full-time
Hybrid
Senior Level
5+ years expRaphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. They are currently seeking a New York Labor Law Claims Examiner to manage complex labor law claims and ensure compliance with relevant statutes. The role involves investigating claims, managing litigation, and providing updates to stakeholders.
Insurance
Responsibilities
Manage complex New York Labor Law general liability claims and third-party property and bodily injury
Maintain a current understanding of relevant statutes and case law
Expertise in admitted and non-admitted policy coverages
Knowledge of New York Labor Law: 200, 240(1), 241(6)
Investigate claims and determine coverage. Identify coverage issues and draft coverage position letters. When necessary, retain coverage counsel and implement recommendations
Participate in litigation activities including assignment of defense panel counsel, monitoring of defense counsel work
Provide internal and external stakeholders with regular updates including reserve recommendations, coverage and contractual issues, determination of liability
Manage litigation and negotiate settlements
Determine reserves and monitor for accuracy
Manage litigation and defense
Manage all claims in accordance with industry best practices
Qualification
Required
At least 5+ years of relevant experience
Must maintain current and valid adjuster license(s)
Strong project management skills and ability to work independently
Strong working knowledge of insurance law(s) and construction safety regulation
Strong verbal and written communication skills
Excellent customer service skills
Preferred
Experience working for a Third-Party Administrator (TPA) company is a plus
Benefits
Competitive compensation package
Salary
Bonus
Paid time off
Medical/dental/vision/life insurance
401k (with matching!)
Company
Raphael & Associates
Raphael & Associates is a TPA and claims adjusting company
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Gina Jehn
Head of Human Resources (Part-time)
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